double standard?
...
In reality, those paramedics who did that are no longer paramedics.
...
And I would drop the topic if anyone could name one health care facility where a nurse can administer a narcotic med to a patient prior to being seen by a doctor.
Let me try one last time. RNs can do what paramedics can do if they work on a helicopter. I don't know every hospital's RN protocols...
Let let's just assume that the answer is NONE.
How many TX health care facilities can Paramedics do this?
Also None
What would it take to allow a RN to do the things mentioned?
MD and facility write a protocol, policy, and training.
What would it take to allow a paramedic to do the thigns in a hospital?
MD and facility write a protocol, policy, and training... AND A NEW LAW.
I say double standard because you are using exactly the disingenuous method that you are accusing the ENA of.
So explain to me why there should be a new law?
Paramedics can do all the things they do in the prehospital environment with the current training requirements they have because our society has,
for some stupid reason, decided that we don't want to pay more. So you need a broad skillset provider at, sadly, a low cost who implements skills that are primarily either low risk/high gain or high risk/high gain with thresholds for implementation where the consequences of inaction are nearly as high. And to get enough of these providers to work for cheap enough, you have to settle for low education standards so the barrier to entry is low enough . That is how the healthcare system is designed to screw EMS in the US, vs how it is done in say Canada, NZ, AU etc with high compensation and education... or other countries where they use RNs or MDs.
And EMS providers in the US don't like it the low pay, but they do like the rather autonomous protocols. So someone decided
the solution is to work in the ED, but imagine it would be a good idea to keep the liberal field protocols?
The reason that RNs don't have more liberal universal standing orders is because MDs and hospitals don't want them to because there isn't a huge need for it. NOT BECAUSE THEY CAN'T. In order to provide better patient care and achieve more autonomy in the hospital where MD/PA/NP/CRNA are close at hand, RNs raised their educational standards so that 2 year degree RNs can barely find a hospital job and the ED/ICU wants years of experience. Now why would the hospital want to bring in paramedics to do what they could have their RNs do
with the same policy/protocol change and without a new law? One reason: Paramedics are cheaper because their training is less expensive and faster. So after the RNs fought for higher educational standards, there is a proposed law change to allow providers who may only have one year of technician training in to supplant them with more autonomy... yea... I bet they are frothing at the mouth just like you are in this thread. How does that make sense?
The other question is do the ED physicians really want paramedics in the ED with more autonomy than their RNs? Or is this a push by hospital corps? Or is this a push by EMS associations?